Experiences of Healthcare Team Members Involved in Facial Transplant Surgery and Patient Care

Evans, Linda

doi:10.1097/01.nnr.0000434616.93493.e2

Cited by 5 publications

(3 citation statements)

References 43 publications

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“…After facial transplantation, there are several important aspects of patient care: facial muscle therapy; speech and swallow training; olfactory retraining; activities of daily living (including medication adherence); and psychological, social, and spiritual care. 11,[20][21][22] Vision is customarily an element of all of these activities; however, as evidenced by the 3 current TBB patients, accommodation can be made. The most complicated of these areas for accommodation are facial muscle therapy and medication adherence.…”

Section: Posttransplant Issuesmentioning

confidence: 99%

Looking the World in the Face

Bramstedt

Plock

2016

Prog Transpl

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Total bilateral blindness in the setting of facial transplantation is a controversial matter. Some transplant teams exclude these candidates, while others accept them onto their facial transplant waiting list. Using 3 cases, the clinical and ethical complexity of total bilateral blindness is explored. Guidance (medical, psychological, and social) for total bilateral blindness as both an inclusion and exclusion criterion is provided, with the stipulation that total bilateral blindness should not be an automatic exclusion criterion for facial transplantation. Additionally, guidance for corneal transplant in facial transplant candidates is discussed. Suggestions for posttransplant disability assistance for patients with total bilateral blindness are also provided.

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Section: Posttransplant Issuesmentioning

confidence: 99%

Looking the World in the Face

Bramstedt

Plock

2016

Prog Transpl

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“…With the advent of advances in technology, surgical technique, organ preservation methods and improvements in organ and tissue immunosuppressive agents, procedures once thought of as science fiction, using cadaveric donors now have moved beyond experimental to reality. Such types of innovative surgical procedures are as follows: limb transplants (Dubernard et al., ), uterus transplants (Fageeh, Raffa, Jabbad, & Marzouki, ; Farrell & Falcone, ), research on the viability of procuring human uterus from multi‐organ donors during routine procurement surgery (Del Priore, Stega, Sieunarine, Ungar, & Smith, ) and the successful birth of the first baby from a transplanted uterus (Brännström et al., ; Catsanos, Rogers, & Lotz, ) along with human face allograft transplants (Devauchelle et al., ; Evans, ; Taylor‐Alexander, ) all have become a reality in today's surgical operating room. However, despite this, there is little evidence of how healthcare professionals are challenged with these types of surgical procedures, which are considered outside the everyday surgical procedure, of saving lives or restoring wellness.…”

Section: Introductionmentioning

confidence: 99%

Duty and dilemma: Perioperative nurses hiding an objection to participate in organ procurement surgery

Smith

2016

Nursing Inquiry

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Perioperative nurses assist in organ procurement surgery; however, there is a dearth of information of how they encounter making conscientious objection requests or refusals to participate in organ procurement surgery. Organ procurement surgical procedures can present to the operating room ad hoc and can catch a nurse who may not desire to participate by surprise with little opportunity to refuse as a result of staffing, skill mix or organizational work demands. This paper that stems from a larger doctoral research study exploring the experiences of perioperative nurses participating in multi-organ procurement surgery used a grounded theory method to develop a substantive theory of the nurses' experiences. This current paper aimed to highlight the experiences of perioperative nurses when confronted with expressing a conscientious objection towards their participation in these procedures. A number of organizational and cultural barriers within the healthcare organization were seen to hamper their ability in expressing a conscience-based refusal, which lead to their reluctant participation. Perioperative nurses must feel safe to express a conscientious objection towards these types of surgical procedures and feel supported in doing so by their respective hospital organizations and not be forced to participate unwillingly.

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“…También en relación con los ACV. Algunos autores han resaltado la asociación negativa entre la religión o tener alguna creencia en relación a la vida después de la muerte, y la voluntad de donar(Laidouni, Briones-Vozmediano, Garrido Clemente, & Gil González, 2017;López López, 2015;Messina, 2015;Newton, 2011;Zouaghi et al, 2015), si bien en nuestros resultados no se mencionaron de manera explícita aspectos religiosos vinculados.Sobre las creencias de los ACV, la gran mayoría cree que están siempre justificados.Estos resultados, en cuanto a las estudiantes de enfermería también coinciden con varios artículos, que muestran alto nivel de apoyo por el personal sanitario(Evans, 2013;Prior &…”

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Conocimientos, creencias y actitudes de los estudiantes universitarios hacia la donación de órganos: Un estudio cualitativo

Fernández Mayo,

Andina Díaz

2023

Cul. Cuid.

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Both vascularized composite transplants and allogeneic transplants, as they depend on donations, are due to psychosocial factors that, knowing them, allow us to take appropriate educational attitudes. Objective: to explore the knowledge, beliefs and attitudes of nursing and computer science students regarding the donation and transplantation of organs and vascularized compound allogeneic transplants. Material and methods: exploratory research with qualitative approach. Semi-structured interviews with 10 nursing and computer science students. Results: three categories: knowledge, showing disinformation; beliefs such as that there is nothing after death, that donation is altruistic and that their professions help raise awareness; and attitudes such as that they tend to talk about death openly, but not about donation. Discussion: university students are aware, but they are not well informed, finding evidence such as that religion or donating blood or marrow does not influence to be an organ donor and knowing recipients or someone with some disfigurement and talking about death does influence. Conclusions: there are beliefs that favor the donation of organs and vascularized composite tissue in university students, but also a significant misinformation and a lack of dialogue about becoming a donor that damages said donation and the educational role in this regard at a professional level.

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Experiences of Healthcare Team Members Involved in Facial Transplant Surgery and Patient Care

Cited by 5 publications

References 43 publications

Looking the World in the Face

Looking the World in the Face

Duty and dilemma: Perioperative nurses hiding an objection to participate in organ procurement surgery

Conocimientos, creencias y actitudes de los estudiantes universitarios hacia la donación de órganos: Un estudio cualitativo

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